| NPI | 1619541174 |
|---|---|
| Former Name | ELISE SARAH ADKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301019488) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362008863) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 6362008863) | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2024-09-21 |